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Advanced Imaging of Pericardial Diseases

  • Ana Paula de Faria
  • Thiago Quinaglia A. C. Silva
  • Rodrigo Modolo
  • Otávio Rizzi Coelho-Filho
Chapter
Part of the Contemporary Cardiology book series (CONCARD)

Abstract

Pericardial diseases are a consequence of numerous primary and secondary conditions and still contribute to significant morbidity and mortality in developed and developing countries. Improvements in MRI technology have changed the perspective of evaluation from a morphologic static pericardium toward a dynamic morphological and functional approach. Excellent overall sensitivity (88%), specificity (100%), and accuracy (93%) are attributed to cardiac magnetic resonance (CMR) imaging of the pericardium. In addition, the ability to differentiate fluid from pericardial layers and to report an inflammatory process of the pericardium highlights the advantages of CMR compared with other imaging modalities. In the acute setting, CMR provides clues of different etiological factors, as well as inflammation presence and extent. In the chronic scenario, CMR provides accurate diagnosis and distinction between constrictive and restrictive physiologic patterns. Currently, CMR plays an important role in multimodality imaging techniques providing reliable information to improve clinical management of patients suffering from pericardial affections.

Keywords

Cardiac magnetic resonance Late gadolinium imaging Pericardial disease Acute pericarditis Constrictive pericarditis Pericardial effusion 

Supplementary material

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Ana Paula de Faria
    • 1
  • Thiago Quinaglia A. C. Silva
    • 2
  • Rodrigo Modolo
    • 3
  • Otávio Rizzi Coelho-Filho
    • 2
  1. 1.State University of Campinas, Faculty of Medical Science, University HospitalDepartment of PharmacologyCampinasBrazil
  2. 2.State University of Campinas, Faculty of Medical Science, University HospitalDepartment of MedicineCampinasBrazil
  3. 3.State University of Campinas, Faculty of Medical Science, University HospitalDepartment of Internal MedicineCampinasBrazil

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